Examples of Usual and Customary Price in a sentence
Reimbursement for each Branded Covered Product, not requiring compounding, dispensed by a Participating Pharmacy will be based upon the lower of (1) AWP, less an average of the applicable percentage in the below table, plus an average dispensing fee of the applicable dispensing fee in the below table; (2) such pharmacy's Usual and Customary Price; or (3) the amount submitted by the pharmacy.
Reimbursement for each Generic Covered Product dispensed by a Participating Pharmacy will be the lower of (1) the Navitus MAC plus a dispensing fee, if applicable; (2) each Participating Pharmacy’s respective contracted price for such Covered Product, including a discount plus a dispensing fee; (3) such pharmacy's Usual and Customary Price; or (4) the amount submitted;.
Usual and Customary Price (“U&C”): The lowest net price a cash patient would have paid the day the prescription was dispensed inclusive of all applicable discounts.
The Cigna Med D APR Exhibit 1-A Retail Prescription Drug Compensation shall equal the lesser of: (i) Company’s Usual and Customary Price, (ii) the total submitted ingredient cost, or (iii) the rates set forth below, reduced by any applicable Cost-Sharing Amounts, Deductible or APR amount.